Community Activation to TrAnsform Local sYSTems (CATALYST)

社区激活改造当地系统 (CATALYST)

• 批准号: 10545085
• 负责人: JOHN BILLIMEK
• 金额: $ 56.12万
• 依托单位: UNIVERSITY OF CALIFORNIA-IRVINE
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-01-01 至 2024-11-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10545085
• 关键词: 2019-nCoV; Acute; Address; Advocacy; Advocate; Area; Attitude; Behavioral; COVID-19; COVID-19 intervention; COVID-19 pandemic; COVID-19 testing; COVID-19 vaccine; California; Censuses; Chronic Disease; Color; Communication; Communities; Community Health; Community Health Aides; Conscious; Contact Tracing; County; Data; Development; Dimensions; Disease Management; Economics; Education; Ensure; Equity; Ethics; Ethnic Origin; Exposure to; Focus Groups; Future; Goals; Immigrant; Immigrant community; Inequity; Institution; Intervention; Interview; Knowledge; Leadership; Light; Low income; Maintenance; Masks; Modeling; Morbidity - disease rate; National Institute on Minority Health and Health Disparities; Occupational; Oranges; Play; Policies; Politics; Population Heterogeneity; Process; Public Health; Race; Recovery; Research; Resources; Risk; Role; SARS-CoV-2 transmission; Shapes; Social outcome; System; Testing; Tracer; Training; Training Support; United States; Universities; Vaccination; Vaccines; Vision; Work; community barrier; community based participatory research; community center; community organizations; contextual factors; economic outcome; enhancing factor; ethnographic method; health equity; health inequalities; improved; informant; member; minority communities; mortality; pandemic disease; pandemic response; pathogen; policy recommendation; public health intervention; recruit; residential segregation; resilience; respiratory; response; risk mitigation; social; social health determinants; social stigma; social vulnerability; structural determinants; success; transmission process; vaccine distribution

Project Abstract Community health workers (CHWs) played an essential role in addressing multi-level, community barriers to accessing COVID-19 information, testing, risk mitigation, and vaccination; however, little is known about how CHWs managed their roles in light of enormous social, community, and political challenges. In May 2020 the Orange County Health Equity COVID-19 Community- Academic Partnership formed with community-based health equity leaders and health equity academic partners to elevate the need for and guide local COVID-19 equity response and recovery initiatives. Equitable recovery must address larger civic engagement needs, and CHWs were essential to navigating rising anti-immigrant attitudes, and promoting civic engagement for census complete count and elections turnout in addition to COVID-19 education and chronic disease management. In this study, we aim to: (1) Examine from the perspective of CHWs and community members the facilitators, barriers, and processes of change of delivering COVID-19 response and chronic disease management CHW intervention during the COVID-19 pandemic. In partnership with five community-based organizations, we will conduct focus groups in the areas with the highest social vulnerability to COVID-19 in Orange County, CA; (2) Assess the systemic factors that enhance inequities in COVID-19 testing, cases, and vaccines in Orange County areas with the highest social vulnerability to COVID-19. Through interviews with community leaders and policy stakeholders, we will identify the multilevel contextual factors that contribute to successes and challenges of CHWs and community members to access COVID-19 education, testing, and vaccinations; and (3) analyze how advocacy efforts implemented by CHWs and community-based organizations shape the COVID-19 response. We will recruit and interview CHWs from across California to identify the degree to which Orange County’s community responses and resiliencies are generalizable to diverse populations across the state. Strengths of this study include our responsiveness to community-driven COVID-19 interventions; the integration of chronic disease management into the study of COVID-19 responses; a focus on CHW efforts to ensure access to COVID-19 resources and to build consciousness among community members and transform local COVID-19 responses; strong community and university leadership; and multilevel assessments of COVID-19 interventions. We will advance knowledge about processes of change in COVID-19 CHW interventions in communities with highest social vulnerability to COVID-19. The results of this study will inform policy recommendations to strengthen equitable COVID-19 recovery and prepare for future public health crises and serve as a model of CBPR nationwide.

项目摘要 社区卫生工作者（CHW）在解决多层，社区方面发挥了重要作用 访问COVID-19信息，测试，降低风险和疫苗接种的障碍；然而， 关于CHW如何根据巨大的社会，社区和 政治挑战。 2020年5月，奥兰治县卫生权益共同19社区 - 与社区卫生公平领导者和卫生公平建立的学术伙伴关系 学术合作伙伴提高了对当地的Covid-19股权响应的需求和指导 恢复计划。公平的恢复必须满足更大的公民参与需求，而CHW则必须 对于导航的反移民参与者至关重要，并促进公民参与 人口普查完成和选举选举以及Covid-19教育和慢性 疾病管理。在这项研究中，我们的目的是：（1）从CHW的角度进行检查 社区成员交付Covid-19的促进者，障碍和过程 反应和慢性疾病管理CHW干预期间，在COVID-19大流行期间。 与五个基于社区的组织合作，我们将在该领域进行焦点小组 在加利福尼亚州奥兰治县对Covid-19的社会脆弱性最高； （2）评估系统性 增强了橙县地区共同19测试，病例和疫苗不平等的因素 与19日的社会脆弱性最高。通过与社区领导者的采访 政策利益相关者，我们将确定有助于成功的多层上下文因素 以及CHW和社区成员访问Covid-19-19教育，测试以及 疫苗接种； （3）分析CHW和基于社区的倡导努力如何 组织塑造了COVID-19响应。我们将从各地招募和采访CHW 加利福尼亚州确定奥兰治县的社区回应和弹性的程度 可以推广到全州的潜水员人群。这项研究的优势包括我们 对社区驱动的Covid-19干预措施的响应；慢性病的整合 管理研究COVID-19回答的研究；关注CHW的努力，以确保进入 COVID-19-19资源并建立社区成员之间的意识并改变本地 COVID-19响应；强大的社区和大学领导；和多层次评估 COVID-19干预措施。我们将促进有关Covid-19的变化过程的了解 CHW干预社区对Covid-19的社会脆弱性最高。结果 这项研究将为政策建议提供信息，以加强公平的共同恢复和 为未来的公共卫生危机做准备，并在全国范围内成为CBPR的典范。